Individual provider Active NPI

Marisa Fialho, LMFT, CSAC

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1265834295
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
498 Issued in HI
Practice address
1017 2ND Ave
Honolulu, HI 96816-3641
Phone
(808) 483-0735
NPI assigned
Sep 22, 2014
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001118 NY
Marriage & Family Therapist 106H00000X 498 HI Primary

Addresses

Primary practice location

1017 2ND Ave
Honolulu, HI 96816-3641

Mailing address

1017 2ND Ave
Honolulu, HI 96816-3641
Phone (808) 483-0735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001118NYMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Marisa Fialho, Marriage & Family Therapist, Ms, LMFT, Csac, LLC Marriage & Family Therapist CurrentSince Jul 16, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1265834295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 2ND AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163641",
            "telephone_number": "808-483-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 2ND AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163641",
            "telephone_number": "808-483-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALHO",
        "first_name": "MARISA",
        "name_prefix": "Ms.",
        "credential": "LMFT, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001118",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.